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류언나 ( Ryoo Eon-Na ) - 적십자간호대학
박경숙 ( Park Kyung-Sook ) - 중앙대학교 의과대학 간호학과
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Abstract
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Purpose: The aim on this study was to establish the validity, reliability and efficiency of a Pain Self-Report Scale for elderly with dementia and compare these results with an observational pain rating scale.
Methods: Study subjects were 136 elderly with dementia who were residents in a nursing home, geriatric hospital, or day care center. The subject’s pain was measured by five self-report scales and observational scale. DS-DAT (discomfort scale-dementia of the Alzheimer’s type) was used for pain behavior observational measure. Cognitive state was assessed using the MMSE (Mini-Mental State Examination).
Results: Observational rating correlated moderately with self-report (r=.225~.585, p＜.05) and tended to underestimate pain intensity. Test-retest reliability was high for all five self-report scales, and the correlation between these scales was very strong (r=.735~.856, p＜.05). Comprehension rate of VDS (verbal descriptor scale) was 88.3%, and NRS (numeric rating scale) 69.9%, FPS (face pain scale) 66.9%, HVAS (horizontal visual analog scale) and VVAS (vertical visual analog scale) 65.4%.
Conclusion: Nurses should not apply observational scales routinely in demented patients as many of these are capable of reporting their own pain. Self-report, the highest standard of pain measurement can be reliably performed in a large proportion of demented elderly.
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KeyWords
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통증, 통증측정, 치매
Pain, Pain measurement, Dementia
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원문 및 링크아웃 정보
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등재저널 정보
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